Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

El Centro Family Health (NPI 1548425911)

El Centro Family Health is a federally qualified health center (fqhc) provider located in Las Vegas, New Mexico. This profile covers 0 Medicare and 61 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	El Centro Family Health
Address	1235 8th St
City	Las Vegas
State	NM
ZIP	87701
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 24, 2008

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	21,730	$130	$2.9M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	13,000	$130	$1.7M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,130	$170	$525.3K
D0999	N/A	2,120	$210	$450.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	1,820	$130	$229.2K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	8,510	$30	$212.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,320	$160	$205.1K
H0038	Self‑help/peer services, per 15 minutes	1,020	$170	$172.7K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	3,660	$40	$153.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	740	$160	$121K

Showing 1–10 of 61

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

El Centro Family Health — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D0999	N/A	42	80	2,250	$190	$987.3K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	79	140	130	$220	$568.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	55	930	910	$80	$521.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	76	960	1,010	$90	$490K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	395	920	860	$120	$361.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	64	380	220	$160	$273.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	148	380	400	$80	$213.5K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	34	50	410	$140	$198.8K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	167	190	970	$40	$189.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	47	290	470	$70	$161.5K

Showing 1–10 of 61

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Care, LLC.	NM	In Home Supportive Care Agency	$0	$52.8M
Victory Personal Care Inc.	NM	Home Health Agency	$0	$26.9M
Direct Healthcare	NM	In Home Supportive Care Agency	$0	$15.2M
Heritage Healthcare Of Northern New Mexico, Inc.	NM	Home Health Agency	$0	$14.8M
An Angels Touch LLC	NM	In Home Supportive Care Agency	$0	$13.4M
San Miguel Hospital Corporation	NM	General Acute Care Hospital	$0	$13.2M
Rainbow Road Therapies, Inc.	NM	Developmentally Disabled Services Day Training Agency	$0	$6.5M
State Of New Mexico	NM	Nursing Facility/Intermediate Care Facility	$0	$4.2M
Summit Emergency Medicine LLC	NM	Emergency Medicine Physician	$0	$3.1M
San Miguel Hospital Corporation	NM	Critical Access Hospital	$0	$3M

El Centro Family Health — Billing Profile & Reimbursement Data

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El Centro Family Health — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$11.6M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$3.2M
Taos Clinic For Children And Youth	NM	Pediatrics Physician	$0	$3.1M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$2.3M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$1.4M
Koryn Michaud	NM	Primary Care Nurse Practitioner	$35.7K	$0
Rana Russell	NM	Family Nurse Practitioner	$34.8K	$0
Morgan Johnson	NM	Physician Assistant	$1.2K	$0